Zachary William Dickson, ARNP-C
Individual provider Active NPI Family Nurse Practitioner · Chipley, FL
NPI 1114217221 · NPPES record last updated Apr 10, 2011
Key facts
- NPI
- 1114217221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9249989 (FL)
- Practice address
- 1410 Brickyard Rd
Chipley, FL 32428-5966 - Phone
- (850) 638-3400
- NPI assigned
- Apr 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emerald Coast Urgent Care LLC
Northwest Florida Healthcare, Inc.
Practice addresses (Care Compare)
12598 US Hwy 98 W
Unit 101
Destin, FL 32550-2102
Phone (850) 654-8878
1410 Brickyard Rd
Chipley, FL 32428-5966
Phone (850) 638-3400
Hospital & facility affiliations
- Concierge Home Care
- Northwest Florida Community Hospital
- Doctors Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.97 of 100
- Quality
- 74.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110824000355 | FL | Practitioner - Nurse Practitioner | 3779753082 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Florida Healthcare, Inc | Current |
Accepting new patients | |
| Northwest Florida Healthcare, Inc | Current |
Accepting new patients | |
| Emerald Coast Urgent Care LLC | Current |
Accepting new patients | |
| Northwest Florida Healthcare, Inc. | Past | Accepting new patients |
Locations
1410 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-3400
1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300
12598 US Highway 98 W
Unit 101
Miramar Beach, FL 32550
Phone (850) 654-8878
Interoperability endpoints
- https://api.platform.athenahealth.com/1941/brand/1/csg/1/fhir/r4
- zachary.dickson.1@1941.direct.athenahealth.com
- zachary.dickson.1@14612.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9249989 | FL | Yes |
Addresses
Primary practice location
1410 Brickyard Rd
Chipley, FL 32428-5966
Mailing address
1410 Brickyard Rd
Chipley, FL 32428-5966
Phone (850) 638-3400
Other providers in Chipley, FL
- Christy E. Davis-Wester
- Dawn Rene', Inc.
- Deborah B Day
- Dermatology Associates
- Dermatology Associates, PA
- Dream Medical LLC
- Frances Duffek
- Lori Dawn Edenfield
- Rhyne Elliott
- Kimberly Jean Ellis-Koceja
All providers in Chipley, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.